Emergency response volunteer list

The Commission has been asked by emergency service providers to help collate a list of volunteers from different multicultural communities across Victoria to be on standby to record emergency messages if needed. If you are interested in being on this list, we ask you to complete the below survey.

If there is an emergency in your region, you may be contacted to help produce an emergency response message. This is not a list where you will be contacted all the time, it is only during times of crisis.

You can also identity if you would be available to share messages to encourage community members to prepare for crises. For example, the Bureau of Meteorology has declared that we are now in La Niña and so VICSES is preparing for what could be a very wet spring and summer. If you select to be contacted to share emergency preparation messages, VICSES may contact you to pass on localised messages about how to prepare for floods.

This role is voluntary. You are not required to be available 24/7 to be included on this list. Service agencies will work with you and your availability.

PLEASE NOTE: You will not be asked to go anywhere near a fire, flood, storm etc. This is just to support getting messages to people in the community and help the response effort.

If you have any questions, or require more information, please email contact@vmc.vic.gov.au.

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* 1. Please provide your contact details

Name

Address

Address 2

City/Town

State

Post Code

Email Address

Phone Number

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* 2. What is your Local Government Area (LGA)

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* 3. Please provide your position and organisation.

Position

Organisation

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* 4. Languages spoken and fluency (please list as many as apply).

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* 5. Which community/ies do you most strongly identify or associate with?

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* 6. When are you available to help?

	Morning	Afternoon	Evening	24 hrs (only for emergency response)
Monday	Monday Morning	Monday Afternoon	Monday Evening	Monday 24 hrs (only for emergency response)
Tuesday	Tuesday Morning	Tuesday Afternoon	Tuesday Evening	Tuesday 24 hrs (only for emergency response)
Wednesday	Wednesday Morning	Wednesday Afternoon	Wednesday Evening	Wednesday 24 hrs (only for emergency response)
Thursday	Thursday Morning	Thursday Afternoon	Thursday Evening	Thursday 24 hrs (only for emergency response)
Friday	Friday Morning	Friday Afternoon	Friday Evening	Friday 24 hrs (only for emergency response)
Saturday	Saturday Morning	Saturday Afternoon	Saturday Evening	Saturday 24 hrs (only for emergency response)
Sunday	Sunday Morning	Sunday Afternoon	Sunday Evening	Sunday 24 hrs (only for emergency response)

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* 7. I am available for

Translating and recording emergency response messages

Sending out emergency preparation and response messages to my community

On the ground support (away from dangerous situations)

Translating and recording emergency preparation messages

Consultation to help engage with broad community

Other (please specify)

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* 8. Message format

I can record audio only

I can record audio and video

I would need help from the agency to record in audio or video

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* 9. I consent for my contact details I have supplied going into an electronic register to be shared with Victorian Emergency Service providers (Fire Rescue Victoria, Country Fire Authority, Victoria State Emergency Service and others which will be identified at a later date – you will be notified if other agencies ask for your details).
I will notify VMC of any changes to my contact details within 7 days.

I consent

I do not consent